Common Perineal Issues Postpartum or After Trauma

Post-delivery time

The journey into motherhood brings immense joy but can also come with perineal pain that affects your postpartum experience. While it's common, understanding the causes and seeking proper care can help you navigate this phase more comfortably.

The Perineum: A New Focus

The perineum, the skin area between the vagina and anus, takes center stage after childbirth. Although it's an area you may not have paid much attention to before, it now demands your consideration due to the discomfort you may experience.

Common Causes of Perineal Pain After Birth

Childbirth can lead to perineal pain due to various factors:

Perineal Tears: Delivering a baby, especially a larger one or in certain conditions, can cause tears in the perineal area. These tears are classified into four degrees based on severity and may require stitches for healing.
Episiotomy: When rapid birth is needed, an episiotomy—a surgical cut—is made in the perineum to facilitate delivery. Stitches are used post-procedure.
Pelvic Floor Dysfunction: Pregnancy and childbirth strain the pelvic floor muscles that support pelvic organs. Weakness or tearing of these muscles can lead to perineal pain, constipation, urinary issues, and even pelvic organ prolapse.
Haemorrhoids: Swollen blood vessels in the rectal area, often aggravated by pregnancy and childbirth, can cause discomfort, pain, and itching.
Pudendal Nerve Entrapment: Pressure changes during pregnancy can lead to pudendal nerve compression, causing pelvic pain and discomfort.

Potential Complications of Perineal Pain

Perineal pain can lead to various complications:

Painful Urination: Healing perineal tears may result in pain during urination. Proper hygiene and gentle cleansing are essential.
Infections: Perineal tears are susceptible to infection. Watch for redness, swelling, pain, discharge, and odor, and consult a doctor promptly.
Discomfort Sitting: Torn perineum and haemorrhoids can make sitting painful. Cushions or waffle cushions can provide relief.
Incontinence: Pelvic floor dysfunction can lead to bladder or bowel control issues. Pelvic floor exercises and medical guidance are crucial.
Constipation: Factors like pelvic floor weakness, medications, stress, and dehydration can lead to postpartum constipation. Stay hydrated, consume fiber-rich foods, and consider stool softeners if needed.
Pain During Sex: Tear-related or postpartum changes can lead to painful intercourse. Be patient and explore other forms of intimacy. If the pain persists, consult a doctor.

Prioritizing Care and Comfort

Remember, you're not alone in facing perineal discomfort after childbirth. Seek medical attention when necessary, practice pelvic floor exercises, maintain proper hygiene, and offer yourself the time and care you deserve.

With proper support and self-compassion, you can ease perineal pain and embark on the journey of motherhood with greater comfort and confidence. 🌿

Anyone had a postpartum UTI? I can’t tell if I was just really sore using the bathroom still or if it could be a UTI. I’m one month/4weeks postpartum and I’ve still been sore using the bathroom😭 should I use the Dermoplast or Frida mom perineal healing foam? Idk.

Newborn Post-delivery time

14 comments

Madison

I thought I was the only one! I feel like it's not a uti bc I dint have that painful constant urge to pee irs just sore right after I get finished peeing like wtf is this

27 Mar 2024